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Most PBM contracts rely on rebates and other retrospective pricing mechanisms — including discounts, guarantees, and reconciliation processes that determine the final net cost of drugs — only after claims […]

With drug spending a top concern for plan sponsors and costs rising, employers continue to explore new strategies to better manage spending. New “shared savings” vendors attempt to appeal to employers […]

The National Alliance PBM Misalignment Initiative investigates and addresses misalignment between employers and their pharmacy benefit management (PBM) service providers.  Building on the 2023 PBM Playbook and other related resources, this final report […]

Managed Healthcare Executive

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